| Clarksville Tongue Tie Center Pllc | |
|
590 Fire Station Rd Ste D Clarksville TN 37043-4076 | |
| (931) 444-3410 | |
| Not Available |
| Full Name | Clarksville Tongue Tie Center Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 590 Fire Station Rd Ste D, Clarksville, Tennessee |
| Authorized Official Name and Position | Kevin Kennedy (OWNER) |
| Authorized Official Contact | 9312060852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Tongue Tie Center Pllc 590 Fire Station Rd Ste D Clarksville TN 37043-4076 Ph: (931) 444-3410 | Clarksville Tongue Tie Center Pllc 590 Fire Station Rd Ste D Clarksville TN 37043-4076 Ph: (931) 444-3410 |
| NPI Number | 1811568561 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811568561 | NPI | - | NPPES |
| 0 | Other | NO INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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